The Engine of Your Practice: End-to-End Revenue Cycle Optimization

Move beyond basic medical billing. Accunet RCM delivers comprehensive financial management that accelerates payment, minimizes denials, and guarantees fiscal health.

The Accunet RCM Difference: Precision and Performance

In the complex U.S. healthcare landscape, a leak in your Revenue Cycle Management (RCM) is a direct loss to your bottom line. Accunet RCM provides a full-service solution, managing every stage from patient intake to final payment collection. We don't just process claims—we optimize your entire financial workflow.

Our Core RCM Commitments:

  • 95%+ Clean Claims Rate: Our focus on upfront accuracy ensures a maximum first-pass resolution rate.

  • Reduced AR Days: We aggressively follow up on outstanding claims to accelerate your cash conversion cycle.

  • Transparency and Reporting: Access to real-time, granular financial data so you always know where your revenue stands.

The Full-Spectrum RCM Process

We cover the entire lifecycle of a medical claim, ensuring efficiency and accuracy at every critical juncture:

Front-End Financial Management

  • Insurance Eligibility & Verification: Automated, real-time checks to confirm patient coverage and benefits before service is rendered, preventing future denials.

  • Prior Authorization Management: Proactive management and submission of necessary authorization paperwork to ensure services are medically covered.

  • Patient Financial Counseling: Clear communication of patient payment responsibility, improving point-of-service collections.

Mid-Cycle Management (Billing & Coding)

  • Expert Medical Coding: Certified coders (CPC, CCS) ensure all services are documented and coded to the highest specificity, minimizing audit risk and maximizing ethical reimbursement.

  • Charge Entry & Reconciliation: Fast, accurate capture of all billable charges from clinical documentation.

  • Claim Submission: Electronic submission of clean claims (EDI) to commercial, government, and worker's comp payers, minimizing submission errors.

Back-End Financial Management (Collections & Reporting)

  • Accounts Receivable (AR) Follow-Up: Dedicated AR specialists proactively pursue delayed and denied claims, resolving them efficiently and quickly.

  • Denial Management & Appeals: Detailed analysis of denial trends to address root causes and expert preparation and submission of timely appeals.

  • Payment Posting & Reconciliation: Accurate and timely posting of payments and adjustments to patient accounts, ensuring precise financial reporting.

  • Patient Billing & Collections: Management of patient statements, inquiries, and compassionate self-pay collections.

Advanced Financial Reporting & Analytics

Data-Driven Performance Improvement

We believe that true financial management requires more than just a balance sheet. Our reporting gives you the insights needed to make strategic decisions.

Key Performance Indicator (KPI) MonitoringStrategic Insights Provided AR Days: Time claims spend in accounts receivable.Identify cash flow blockages and optimize collection intensity.First-Pass Clean Claim Rate: Claims paid on the first submission.Measure documentation quality and identify payer-specific submission issues. Net Collection Rate: Actual collected revenue vs. collectible revenue.Benchmark RCM efficiency and identify overall revenue leakage.Denial Rate & Trend Analysis: Frequency and reasons for denials.Target specific provider education or front-end process changes.